Table 11

Clinical studies of lactobacilli showing efficacy for treatment of diarrhoea

BacteriaDosePathologyRef. (Design)
Actimel®
(L. casei DN 114001)
1010 CFU/100 mLAntibiotic-associated diarrhoea249(observational study)
Balance
(L. casei,
L. rhamnosus,
L. acidophilus,
L. bulgaricus,
B. strains
B. breve,
B. longum,
St. thermophilus)
1×108 CFU (total)H. pylori infection-associated diarrhoea250(randomised placebo-controlled triple-blind study)
L. acidophilus
L.rhamnosus
B. bifidum,
B. longum,
E. faecium
+
fructo-oligosaccharide
2.5×109 CFU (total)





625 mg
Acute diarrhoea251(prospective randomised, multicentre single-blinded clinical study)
L. acidophilus CUL60 (NCIMB 30157),
CUL21 (NCIMB 30156),
B. bifidum; CUL20, NCIMB 30153),
B. lactis (CUL34, NCIMB 30172)
6×1010 CFU (total)Antibiotic-associated diarrhoea252(prospective, parallel group study)
Probiotical
(S. thermophilus,
L. rhamnosus,
L. acidophilus,
B. lactis,
B. infantis
+
Fructooligosaccharides
+
Ascorbic ac

6.5×109 CFU (60 mg)
6.5×109 CFU (28 mg)
6.5×109 CFU (28 mg)
6.5×109 CFU (20 mg)
6.5×109 CFU (20 mg)

20 mg

1.2 mg
Acute gastroenteritis253(randomised, prospective placebo-controlled parallel clinical study)
NAN 1®
(L. acidophilus,
L. rhamnosus,
B. longum
S. boulardii)

6.625×107 CFU
3.625×107 CFU
8.75×106 CFU
1.375×107 CFU
Acute rotavirus diarrhoea254(prospective, double-blind, randomised study)
L. rhamnosus 356×108 CFUAcute rotaviral gastroenteritis255(open-label randomised study)
L. rhamnosus (strains E/N, Oxy and Pen)2×1010 CFU (of each)Antibiotic-associated diarrhoea256(double-blind, randomised, placebo-controlled study)
L. acidophilus LB
+
spent culture medium
109 CFU

160 mg
Non-rotavirus diarrhoea257(randomised, double-blind, placebo-controlled clinical study)
Lakcid® L
(L. rhamnosus (573 L/1;
573 L/2;
573 L/3))
1.2×1010 CFU (total)Infectious diarrhoea258(randomised, double-blind, placebo-controlled study)
L. paracasei ST111010 CFUNon-rotavirus diarrhoea259(randomised, double-blind, placebo-controlled clinical study)
L. casei CERELA,
L. acidophilus CERELA,
S. boulardii
1011 CFU/g in 175 g (of each)Persistent diarrhoea260(double-blind study)
L. rhamnosus 19070–2
L. reuteri DSM 12246
1010 CFU (of each)Acute diarrhoea261(randomised placebo-controlled study)
L. casei CERELA, L. acidophillus CERELAN/ABacterial overgrowth-related chronic diarrhoea262(randomised, double-blind study)
L. reuteri1010–11 CFU/g in 1 gAcute diarrhoea263(randomised, placebo-controlled study)